| NPI | 1124917216 |
|---|---|
| Former Name | TRISTEN NICOLE MARENGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 848826) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-03 |