NPI | 1174294789 |
---|---|
Former Name | BRITTANIA RENE STAROSTKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 20021037887) |
Enumeration Date | 2021-09-23 |
Last Update Date | 2021-11-09 |