NPI | 1861101719 |
---|---|
Former Name | SARAH VISAYA ACIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95240561) |
Enumeration Date | 2022-11-18 |
Last Update Date | 2022-11-18 |