NPI | 1457732414 |
---|---|
Former Name | KIZZY LABRETT HARGETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5007734) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007734) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2021-12-06 |