NPI | 1245524628 |
---|---|
Former Name | ALANNA RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401963-1) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 641262) |
Enumeration Date | 2011-06-03 |
Last Update Date | 2024-09-05 |