NPI | 1477913820 |
---|---|
Former Name | DEBORAH REGINA DARDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209019480) |
Enumeration Date | 2016-02-28 |
Last Update Date | 2024-11-06 |