NPI | 1497138887 |
---|---|
Former Name | MARSHA DECESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA AP08411) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP08411) |
Enumeration Date | 2015-07-02 |
Last Update Date | 2024-10-31 |