NPI | 1851729768 |
---|---|
Former Name | MERCY MANEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21619) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 21619) |
Enumeration Date | 2013-10-31 |
Last Update Date | 2021-10-26 |