NPI | 1063820645 |
---|---|
Former Name | CHRISTINE DEFRANCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403931-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687546) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2022-02-11 |