NPI | 1033767207 |
---|---|
Former Name | CHRISTINA KAYE ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95022231) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 821169) |
163W00000X Registered Nurse (Licence: CA 95100961) | |
163W00000X Registered Nurse (Licence: IL 041.469080) | |
Enumeration Date | 2019-08-30 |
Last Update Date | 2024-07-12 |