NPI | 1083286710 |
---|---|
Former Name | ALICIA MONAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 2288822) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2288822) |
Enumeration Date | 2021-07-13 |
Last Update Date | 2021-07-13 |