NPI | 1730845579 |
---|---|
Former Name | KATELYN PAXTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020659) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95167087) |
Enumeration Date | 2021-11-16 |
Last Update Date | 2023-03-08 |