| NPI | 1407282759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE OSTROM Owner 716-626-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |