| NPI | 1801870167 |
|---|---|
| Former Name | JUANITA JOY STOLTZFUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: PA RN276296L) |
| Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: NY 532735) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2007-07-08 |