NPI | 1154616332 |
---|---|
Former Name | LASHANDA BROWN SELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5001739) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5001739) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5001739) | |
Enumeration Date | 2011-06-15 |
Last Update Date | 2022-08-08 |