NPI | 1487159182 |
---|---|
Former Name | DITHRA ANN COTTON-LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NV APRN002870) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV APRN002870) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2021-12-02 |