| NPI | 1306379359 |
|---|---|
| Former Name | KEN SAMITH VORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95006234) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006294) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-02-03 |