NPI | 1669736781 |
---|---|
Other Name | SISTER MARA LESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 61553) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2012019700) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 29188) | |
Enumeration Date | 2012-07-03 |
Last Update Date | 2020-07-13 |