| NPI | 1326561515 |
|---|---|
| Former Name | ELISE HOUSE KOGUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F-402176-1) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2024-06-12 |