| NPI | 1831254390 |
|---|---|
| Former Name | THERESE M BOHMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: WI 1715-033) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-09 |