NPI | 1457952400 |
---|---|
Former Name | BRITTANY RAGAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 212012) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 212012) |
Enumeration Date | 2020-11-05 |
Last Update Date | 2023-02-14 |