| NPI | 1235806068 |
|---|---|
| Former Name | LINDSAY MICHELLE JANTZEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN166449) |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2021-08-28 |