| NPI | 1477597060 |
|---|---|
| Former Name | CATHY SELACK BALKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 188294-4405) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 188294-8900) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-07-21 |