| NPI | 1679091136 |
|---|---|
| Former Name | KAREN MARIE PELTAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403391-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341889-1) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-01-12 |