NPI | 1831891605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95326613) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95326613) |
Enumeration Date | 2023-03-17 |
Last Update Date | 2024-06-14 |