NPI | 1912159781 |
---|---|
Former Name | ROBERTA ANN FREELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 200040188RN) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2015-10-22 |