NPI | 1144467556 |
---|---|
Former Name | BARBARA JOAN MESTACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 592795) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2013-08-06 |