NPI | 1225502412 |
---|---|
Former Name | SHERITA DANIELLE BOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 902938) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 37389) |
Enumeration Date | 2019-01-22 |
Last Update Date | 2024-11-20 |