NPI | 1639167224 |
---|---|
Former Name | SANDRA SPEIGEL BAUMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 718562) |
Enumeration Date | 2005-10-08 |
Last Update Date | 2017-10-17 |