NPI | 1467042580 |
---|---|
Former Name | JENNIFER LENTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AZ RN165652) |
Enumeration Date | 2021-01-22 |
Last Update Date | 2021-01-22 |