NPI | 1235935222 |
---|---|
Former Name | DIANNE YVONNE TRAMMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 3861370) |
Enumeration Date | 2025-02-20 |
Last Update Date | 2025-02-20 |