| NPI | 1730553371 |
|---|---|
| Former Name | MARY ELIZABETH KERVANDJIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2371789) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 088764-23) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2024-07-24 |