NPI | 1104560747 |
---|---|
Other Name | GABRIEL ESPANA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95259260) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95259260) |
Enumeration Date | 2022-04-20 |
Last Update Date | 2023-03-01 |