| NPI | 1437837036 |
|---|---|
| Former Name | LATARA STALLINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MS 903510) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS 903510) |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2024-10-11 |