NPI | 1033992847 |
---|---|
Former Name | VIVIAN MARIE CRANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 95085271) |
Enumeration Date | 2023-08-15 |
Last Update Date | 2023-08-15 |