NPI | 1114057890 |
---|---|
Former Name | DEBORAH SUE ROSEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 073945) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2024-05-03 |