NPI | 1154066355 |
---|---|
Former Name | VICTORIA ANN LEAMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95023171) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 510076) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WI 100089-875) | |
Enumeration Date | 2022-05-02 |
Last Update Date | 2023-03-31 |