NPI | 1184127276 |
---|---|
Former Name | MARKESHE ELLISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN T3574) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 23574) |
Enumeration Date | 2018-03-14 |
Last Update Date | 2023-11-16 |