| NPI | 1366521437 |
|---|---|
| Former Name | CARLEEN ANNE RISELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024170236) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 263554-PC) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-10-11 |