NPI | 1124162995 |
---|---|
Former Name | PAMELA A OSELES-MAST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0995760) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
163W00000X Registered Nurse (Licence: CO 99914) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 0995760) | |
Enumeration Date | 2007-02-16 |
Last Update Date | 2024-01-25 |