| NPI | 1639820236 |
|---|---|
| Former Name | FRANCINE FONKOU TALLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OR 202102469RN) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |