NPI | 1326306358 |
---|---|
Former Name | RHONDA MISHAUN DUBOSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-049528) |
Enumeration Date | 2012-04-27 |
Last Update Date | 2023-06-09 |