NPI | 1548809064 |
---|---|
Former Name | RILEE NICOLE HORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95032894) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95201650) |
Enumeration Date | 2020-01-01 |
Last Update Date | 2024-11-18 |