| NPI | 1376191502 |
|---|---|
| Former Name | KERI DANIELLE VICTORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 223953) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 888661) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2024-02-12 |