| NPI | 1295184059 |
|---|---|
| Former Name | VANESSA REILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 674658) |
| Enumeration Date | 2016-06-11 |
| Last Update Date | 2022-03-15 |