NPI | 1316492770 |
---|---|
Former Name | ANGELA LASHELL BOOKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP08876) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08876) |
Enumeration Date | 2016-08-15 |
Last Update Date | 2024-04-03 |