NPI | 1619933702 |
---|---|
Other Name | BETTY MANNING |
Entity Type | Organization |
Authorized Contact | BETTY HATHEE REYNOLD MANNING Nurse Practitioner 718-257-0914 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 360288) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2008-08-01 |