NPI | 1801949102 |
---|---|
Former Name | DENISE MARIE HORNBUCKLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA RN00061454) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2007-07-08 |