| NPI | 1467296392 |
|---|---|
| Former Name | MARIE ANN BREITLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP003247) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-09-14 |