NPI | 1215352620 |
---|---|
Former Name | LIVIA CSONKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95001053) |
Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 759829) |
Enumeration Date | 2014-02-21 |
Last Update Date | 2014-09-24 |