NPI | 1215637632 |
---|---|
Former Name | CYNTHIA ANN MASHATISA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AZ RN131618) |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-03-06 |