| 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 |