NPI | 1306323910 |
---|---|
Former Name | JAYAN RAYNOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP9347378) |
Enumeration Date | 2018-07-26 |
Last Update Date | 2018-07-26 |