NPI | 1417611591 |
---|---|
Former Name | ROXANNE SWEENEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95185252) |
Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CA 95185252) |
Enumeration Date | 2021-10-26 |
Last Update Date | 2021-10-26 |