| NPI | 1912352600 |
|---|---|
| Former Name | JOYCE LUBEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MA RN271908) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |