| 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 |