NPI | 1235919200 |
---|---|
Former Name | BRITTANY LYNN WAKELIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 36247) |
Enumeration Date | 2023-10-05 |
Last Update Date | 2024-08-10 |