NPI | 1851632350 |
---|---|
Former Name | TREKESHA DESHON MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN168369) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 112359) |
Enumeration Date | 2013-03-07 |
Last Update Date | 2021-09-16 |