NPI | 1407464183 |
---|---|
Former Name | LORI DARNELLE THORNTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN276881) |
Enumeration Date | 2020-07-17 |
Last Update Date | 2024-03-28 |