NPI | 1083378343 |
---|---|
Former Name | MINCI SEKOU STENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020547) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: CA 713445) |
Enumeration Date | 2021-10-23 |
Last Update Date | 2024-07-16 |