NPI | 1942782404 |
---|---|
Former Name | RACHEL W KIGANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95013232) |
Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: CA 819998) |
Enumeration Date | 2018-08-31 |
Last Update Date | 2024-01-24 |