NPI | 1659899185 |
---|---|
Former Name | DARA LANETTE GETACHEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC002221) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP135005) |
Enumeration Date | 2017-09-05 |
Last Update Date | 2023-08-17 |