NPI | 1194541839 |
---|---|
Other Name | JULIE ANN THERESE DE LOS SANTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95032208) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95248205) |
Enumeration Date | 2024-11-26 |
Last Update Date | 2025-09-10 |