NPI | 1417284977 |
---|---|
Former Name | CHRISTINE M POTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 798866) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN239780) |
Enumeration Date | 2009-11-04 |
Last Update Date | 2024-05-30 |