NPI | 1831222496 |
---|---|
Former Name | CAROLYN BERNADETTE MAHONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: CA NPF16005) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2009-01-06 |