NPI | 1023459740 |
---|---|
Former Name | RENATA DANILEYKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 40 401623) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 605560) |
Enumeration Date | 2013-07-10 |
Last Update Date | 2020-05-21 |