NPI | 1942037510 |
---|---|
Former Name | BRYANA DENISE SHERRY HOMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95031855) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 95031855) |
Enumeration Date | 2024-09-18 |
Last Update Date | 2024-10-14 |