| NPI | 1700241254 |
|---|---|
| Former Name | JACQUELINE J RHATICAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201803764NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95003585) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2019-04-04 |