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 |