NPI | 1457830770 |
---|---|
Former Name | DENISE ELAINE RICHEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1053882) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 872674) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2023-01-25 |