| NPI | 1205303344 |
|---|---|
| Former Name | ANNE ELIZABETH PESARESI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402490) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2021-08-20 |