NPI | 1477113561 |
---|---|
Former Name | MARGARET KEANE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12318) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402667) |
Enumeration Date | 2019-06-19 |
Last Update Date | 2024-03-08 |