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 |