| NPI | 1295517464 |
|---|---|
| Former Name | KATLENE MILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 2023088391) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-03-02 |