| NPI | 1407871643 |
|---|---|
| Former Name | MARY S CARISTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN0004954) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-05-14 |