| NPI | 1144874801 | 
|---|---|
| Former Name | LARISA DOWD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11013344)  | 
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX RN245460)  | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN245460)  | |
| Enumeration Date | 2019-07-30 | 
| Last Update Date | 2021-12-28 |