NPI | 1629955836 |
---|---|
Former Name | ANGEL MARIE SLAUGHTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010896) |
Enumeration Date | 2025-08-19 |
Last Update Date | 2025-08-19 |