Princess Louise Viceral Aqui Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Gardena, CA

NPI

1114682796

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

95018979 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-11-08

Last updated

2022-06-07