| NPI | 1588188619 |
|---|---|
| Former Name | MANDY KAY BAXTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 23090) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2024-05-17 |