NPI | 1518421973 |
---|---|
Former Name | ASIA SPEARMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R201604) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R201604) |
Enumeration Date | 2019-01-29 |
Last Update Date | 2023-01-19 |