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 |