NPI | 1992257729 |
---|---|
Former Name | DAINELLE GENE ANGULO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95106151) |
Enumeration Date | 2016-10-27 |
Last Update Date | 2021-06-29 |