NPI | 1821065350 |
---|---|
Former Name | BARBARA ELAINE MOQUIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R113810) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2016-01-11 |