NPI | 1255116299 |
---|---|
Former Name | BRITTNEY LOVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029048) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95184770) |
Enumeration Date | 2023-08-28 |
Last Update Date | 2024-06-21 |