NPI | 1689368250 |
---|---|
Former Name | ANGEE CHILD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 198780-3102) |
Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: UT 198780-3102) |
Enumeration Date | 2023-06-06 |
Last Update Date | 2023-06-06 |