| NPI | 1245503234 |
|---|---|
| Former Name | KIM TODD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 40401381) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 332874) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 40 401381) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 33332874) | |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2013-02-27 |