NPI | 1548906530 |
---|---|
Former Name | DEMETRA ELAINE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN3536-0) |
Enumeration Date | 2022-05-11 |
Last Update Date | 2024-08-07 |