NPI | 1366761009 |
---|---|
Former Name | AMY C. MACCHIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402005) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 639551) |
Enumeration Date | 2010-05-20 |
Last Update Date | 2020-03-25 |