| NPI | 1104472406 |
|---|---|
| Former Name | JAIMA L BAGIENSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 28154489A) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2024-04-02 |