| NPI | 1386869972 |
|---|---|
| Former Name | IRIS MARLENE HAUSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400559-1) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-02-01 |