NPI | 1043505118 |
---|---|
Former Name | JOSEPHINE MARY HOGAMIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 847629) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 255658) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2015-05-04 |