NPI | 1013421072 |
---|---|
Former Name | CAILEE CICHOWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404511) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 730773-1) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997930-NP) | |
Enumeration Date | 2017-11-28 |
Last Update Date | 2023-11-14 |