NPI | 1073889697 |
---|---|
Former Name | JEMINA M. FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024174090) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174090) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2024-05-02 |