NPI | 1659621621 |
---|---|
Other Name | VELISCIA HODGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277000019) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041291757) |
363LF0000X Nurse Practitioner, Family (Licence: IL 277000019) | |
Enumeration Date | 2012-09-17 |
Last Update Date | 2022-06-14 |