| NPI | 1811511819 |
|---|---|
| Former Name | ARETHA MARCELLA NORTHINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 904621) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2024-04-16 |