| 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 |