NPI | 1619716610 |
---|---|
Former Name | DENISE ASTRID RESULTAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 817526) |
Enumeration Date | 2024-05-21 |
Last Update Date | 2024-05-21 |