| NPI | 1700813292 |
|---|---|
| Former Name | MARYELLEN VENERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F400855) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2008-11-04 |