| NPI | 1609558428 |
|---|---|
| Former Name | NIKKIA BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95026956) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95061022) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-02-19 |