| NPI | 1184509267 |
|---|---|
| Former Name | CERISSA THORUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95036100) |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |