| NPI | 1912695701 |
|---|---|
| Former Name | JANA BOUGHNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 755874) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 755874) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |