| NPI | 1669636759 |
|---|---|
| Former Name | PEGGY MARIE KOUASSI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402204) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 242551-1) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2019-12-31 |