NPI | 1568947141 |
---|---|
Other Name | CHRISTINE MARIE FUNKHOUSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 569293) |
Enumeration Date | 2018-09-28 |
Last Update Date | 2018-09-28 |