NPI | 1124699855 |
---|---|
Former Name | RALAINE GUYAMIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95017716) |
Enumeration Date | 2021-07-03 |
Last Update Date | 2023-11-16 |