| NPI | 1649731514 |
|---|---|
| Former Name | EUSHEAKIA WITHERSPOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: SC 90565) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |