NPI | 1437537297 |
---|---|
Former Name | SABRINA DANIELLE NETTLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34012827) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 02007996A) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2024-08-22 |