NPI | 1811764384 |
---|---|
Other Name | VASHTY LA'DAZIA CHRISTOPHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R237271) |
Enumeration Date | 2023-12-05 |
Last Update Date | 2024-07-11 |