NPI | 1366259111 |
---|---|
Other Name | JUSTINA LEE MERICAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024191757) |
Enumeration Date | 2024-12-16 |
Last Update Date | 2024-12-16 |