| NPI | 1235847294 |
|---|---|
| Former Name | ANTONIA CHRISTINE WARE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 9819) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-01-10 |