| NPI | 1154988814 |
|---|---|
| Former Name | GENA SHREE PENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11002526) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC003803) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404060) | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2024-05-16 |