NPI | 1114484201 |
---|---|
Former Name | YOLANDA RENEE STRONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F02191155) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN194911) |
Enumeration Date | 2019-02-25 |
Last Update Date | 2023-01-03 |