| NPI | 1952464133 |
|---|---|
| Former Name | PHOEBE S PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 18952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 601300) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 18952) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2026-04-10 |