NPI | 1528682374 |
---|---|
Former Name | MAURA FRANCES COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 7447) |
Enumeration Date | 2020-06-07 |
Last Update Date | 2021-09-13 |