NPI | 1538275573 |
---|---|
Former Name | ITASHIA VASSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN3199062) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2020-04-22 |