NPI | 1396124533 |
---|---|
Former Name | DILLYS ANNAN KERMAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95004494) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95004495) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95004494) | |
Enumeration Date | 2015-05-20 |
Last Update Date | 2025-01-21 |