| NPI | 1023100575 |
|---|---|
| Former Name | RANDINE D PUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5001115) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-11-21 |