NPI | 1346967213 |
---|---|
Former Name | KATHRYN TERRELL NEILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1096963) |
Enumeration Date | 2022-10-21 |
Last Update Date | 2023-01-09 |