| NPI | 1740477025 |
|---|---|
| Former Name | CHERYL VONCILLE RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-045566) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-045566) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2009-07-29 |