NPI | 1497705586 |
---|---|
Other Name | ANN MARY DESLOGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 138951) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 138951) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2025-08-06 |