| NPI | 1932776077 |
|---|---|
| Former Name | DELLARESE LEE HERBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA RN202891) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA RN202891) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |