| NPI | 1891971347 |
|---|---|
| Former Name | PAMELA RUEDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402500) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 5152359) |
| 101YM0800X Counselor, Mental Health (Licence: NY 004564-1) | |
| 163W00000X Registered Nurse (Licence: NY 422979-1) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2018-09-04 |