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