| NPI | 1497379663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA PHN559278) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA RN95152885) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |