NPI | 1992186142 |
---|---|
Former Name | ERICKA DANIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010219) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000855) |
Enumeration Date | 2015-06-13 |
Last Update Date | 2024-01-16 |