| NPI | 1770216202 |
|---|---|
| Former Name | VALORIE ANNETTE MYRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 221015) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2022033690) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2023-05-22 |