| NPI | 1265130967 |
|---|---|
| Former Name | SELINA JEAN MARKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404989) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 750794) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-10-06 |