| NPI | 1235875311 |
|---|---|
| Former Name | ERIN THERESA MOGAVERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11033223) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-06-08 |