| NPI | 1598132581 |
|---|---|
| Former Name | MARTHA JEAN BACHURSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 006055) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 006055) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2022-11-08 |