| NPI | 1598961823 |
|---|---|
| Former Name | ELLEN NEWBERG MAHONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: MT 26505) |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2008-11-05 |