NPI | 1104672930 |
---|---|
Former Name | LUCINA MORAN BARTLETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029887) |
Enumeration Date | 2024-04-24 |
Last Update Date | 2024-08-23 |