NPI | 1245705029 |
---|---|
Former Name | ALEXANDRIA DENTON HARVICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 24975) |
Enumeration Date | 2018-10-09 |
Last Update Date | 2024-01-15 |