| NPI | 1891944963 |
|---|---|
| Former Name | RUTHANN AMANDA ROCKWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 184237) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |