NPI | 1174047013 |
---|---|
Former Name | DEBRA LUCILLE ARCOVIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402245) |
Enumeration Date | 2017-08-02 |
Last Update Date | 2017-08-02 |