| NPI | 1346668050 |
|---|---|
| Former Name | MIRANDA RESHAE WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 26208) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 26208) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2025-05-08 |