| NPI | 1235524646 |
|---|---|
| Former Name | ANN BORIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: NY 273614-1) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |