NPI | 1982989083 |
---|---|
Former Name | MARIE MONYATO KARMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP145310) |
Enumeration Date | 2011-10-20 |
Last Update Date | 2020-02-28 |