NPI | 1063955227 |
---|---|
Former Name | MARY DOYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R232061) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 40402112) |
Enumeration Date | 2016-11-21 |
Last Update Date | 2022-03-08 |