| 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 |