| NPI | 1144779067 |
|---|---|
| Former Name | MYRTO TELISMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00756000) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP016614) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403472) | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2024-09-09 |