NPI | 1154389955 |
---|---|
Former Name | LUCRETIA F. WILKERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 6007) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 6007) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2025-07-09 |