| NPI | 1508109315 |
|---|---|
| Former Name | ELIZABETH OSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 40 401579) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2019-08-06 |