NPI | 1417694548 |
---|---|
Former Name | KARLA RATLIFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2312085) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2312085) |
Enumeration Date | 2022-05-19 |
Last Update Date | 2022-08-08 |