| NPI | 1104359652 |
|---|---|
| Former Name | RHONDA SUE GARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 28099866A) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-21 |