NPI | 1902990450 |
---|---|
Former Name | JUDITH MIRIAM KERBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 84307) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |