NPI | 1376632471 |
---|---|
Former Name | JANE ELIZABETH MIKELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 306620) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 7136) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA RN306620) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP7136) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2021-10-21 |