| NPI | 1114590486 |
|---|---|
| Other Name | MIKALA DILLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014761) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014761) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2023-08-28 |