| NPI | 1801449269 |
|---|---|
| Former Name | ELLEN MICHELLE BLEIWEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP142400) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2021-10-15 |