| NPI | 1639365901 |
|---|---|
| Former Name | DEIDRE ANNE BERENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP 60228496) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2018-08-21 |