NPI | 1700315942 |
---|---|
Former Name | LARIENA NICOLE RALPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA RN633023) |
Enumeration Date | 2017-06-10 |
Last Update Date | 2024-10-31 |