| NPI | 1942912563 |
|---|---|
| Other Name | MARIA GILSON SISTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024185761) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 098006278rn) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202215296NP-PP) | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2024-07-30 |