| NPI | 1346269602 |
|---|---|
| Former Name | THERESA MARIE HORVAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNS0322) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-02-27 |