| NPI | 1801438189 |
|---|---|
| Former Name | JAMIE KREUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 825820) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |