| NPI | 1114301728 |
|---|---|
| Professional Name | EREWARI MININI PETERSIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 621055-1) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-11-02 |