| NPI | 1619688819 |
|---|---|
| Former Name | KATHLEEN RUTH MULLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2265939) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 2265939) |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2023-10-24 |