| 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 |