NPI | 1932854213 |
---|---|
Former Name | RONA S BALICAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61575192) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN85093) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 867980) | |
Enumeration Date | 2022-02-15 |
Last Update Date | 2024-10-15 |