NPI | 1063296895 |
---|---|
Former Name | DEBORAH BAUM MUNTIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 296639) |
Enumeration Date | 2023-08-22 |
Last Update Date | 2023-09-18 |