| NPI | 1851086169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R WALSH Owner, Nurse Practitioner 914-574-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2025-02-10 |