NPI | 1932885753 |
---|---|
Former Name | SIERRA ASHLEY MANESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5018339) |
Enumeration Date | 2023-06-26 |
Last Update Date | 2023-06-26 |