| NPI | 1427653864 |
|---|---|
| Former Name | BEATA BARBARA GOMOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC005409) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2023-11-22 |