| NPI | 1376114009 |
|---|---|
| Professional Name | DAMARIS W KONGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MA RN270089) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN270089) |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2024-01-27 |