NPI | 1841742921 |
---|---|
Former Name | TRICIA KATHERINE PTASNIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-83926-082) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 9939) |
Enumeration Date | 2016-10-25 |
Last Update Date | 2025-01-06 |