NPI | 1568126258 |
---|---|
Former Name | SHAMONIQUE QSHOCOLA SLOCUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 832718) |
Enumeration Date | 2021-10-28 |
Last Update Date | 2021-10-28 |