| NPI | 1952488454 |
|---|---|
| Former Name | MARTHA L OUTCAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NY f400635) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL F400635) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-03-08 |