NPI | 1801096722 |
---|---|
Former Name | FELICIA CHIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 17302) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 559490) |
363L00000X Nurse Practitioner (Licence: CA NP 17302) | |
Enumeration Date | 2007-07-19 |
Last Update Date | 2024-11-27 |