NPI | 1699916734 |
---|---|
Former Name | TRIESHA S GAYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00549500) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304333-1) |
Enumeration Date | 2009-03-19 |
Last Update Date | 2022-12-29 |