| NPI | 1518661461 |
|---|---|
| Former Name | LORI ANN MULLIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KS 75489) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |