NPI | 1801661491 |
---|---|
Former Name | DEBRA MAE GENZEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NR15281300) |
Enumeration Date | 2023-11-24 |
Last Update Date | 2023-11-24 |