NPI | 1487412961 |
---|---|
Former Name | HAZEL ARANAS BANTILAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95337368) |
Enumeration Date | 2024-03-11 |
Last Update Date | 2024-03-11 |