| NPI | 1619139359 |
|---|---|
| Former Name | MARY LOU ZIRKELBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 70000209A) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IN 70000209) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2021-03-08 |