| 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 |