| NPI | 1184199747 |
|---|---|
| Former Name | SUSAN MARIA CULLATY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2283174) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2024-04-29 |