NPI | 1851709109 |
---|---|
Former Name | EMILY SHAW DELEONARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401786) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 658782) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP08772) | |
Enumeration Date | 2014-07-31 |
Last Update Date | 2018-06-28 |