| NPI | 1669497830 |
|---|---|
| Former Name | TRICIA LEE MANTHEI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 22143050501) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-05-21 |