| 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 |