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 |