NPI | 1205322757 |
---|---|
Former Name | AGATHE NYAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2314117) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 8469) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2025-01-21 |