NPI | 1447798558 |
---|---|
Former Name | KIARA DENISE GILDERSLEEVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-140289) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP000887) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 23424) | |
Enumeration Date | 2017-02-09 |
Last Update Date | 2024-11-13 |