| NPI | 1265790380 |
|---|---|
| Former Name | CELESTE LEWIS GREENBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA AP06714) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2015-09-28 |