| NPI | 1982655213 |
|---|---|
| Other Name | MARY RAPHAEL PARADIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MN 121976-4) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704155091) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-10-06 |