| NPI | 1104910066 |
|---|---|
| Former Name | MARIE MARGARET SCHULTHEIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: LA RN099809-AP05092) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: LA 099809) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-03-31 |