NPI | 1962927574 |
---|---|
Former Name | SHELIA MAE PARMENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 402164) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2024-12-31 |