NPI | 1891125043 |
---|---|
Former Name | ANGELA SARA REGADO JIMENEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 847264) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 847264) |
164W00000X Licensed Practical Nurse (Licence: CA VN 243704) | |
Enumeration Date | 2013-11-24 |
Last Update Date | 2019-08-29 |