NPI | 1457027500 |
---|---|
Former Name | RENITA J BECKIUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 6199-33) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 6199-33) |
Enumeration Date | 2021-08-19 |
Last Update Date | 2021-08-19 |