NPI | 1578101499 |
---|---|
Former Name | MERRY ANNA VARNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 26912) |
Enumeration Date | 2019-12-11 |
Last Update Date | 2021-06-21 |