| NPI | 1326761842 | 
|---|---|
| Former Name | JACKLINE MONYANGI RAINI | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10108) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN312890) | 
| 163W00000X Registered Nurse (Licence: MN 1699478) | |
| Enumeration Date | 2022-09-20 | 
| Last Update Date | 2023-06-22 |