NPI | 1093407090 |
---|---|
Former Name | RANETTE LESA HARRINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R174950) |
Enumeration Date | 2023-05-26 |
Last Update Date | 2023-05-26 |