NPI | 1366031726 |
---|---|
Former Name | SHERRI CLEVELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010234) |
Enumeration Date | 2021-01-11 |
Last Update Date | 2021-09-04 |