| 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 | 2023-09-04 |