| NPI | 1417149659 |
|---|---|
| Former Name | MARTHA HAZEL MCPHAIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F401079) |
| Enumeration Date | 2007-08-12 |
| Last Update Date | 2008-12-18 |