| NPI | 1679934517 |
|---|---|
| Former Name | DREW K PHELAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 403681) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NY 711470) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2021-09-01 |