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 |