NPI | 1326699323 |
---|---|
Former Name | CARRIE RATLIFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1034845) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 3529) |
163W00000X Registered Nurse (Licence: TN 233166) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 26499) | |
Enumeration Date | 2019-09-23 |
Last Update Date | 2021-09-15 |