NPI | 1356700561 |
---|---|
Professional Name | DESIREE MARIE MATTHEWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5008770) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 266476) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2024-05-16 |