| NPI | 1861066730 |
|---|---|
| Former Name | MARGARET PATRICIA SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12216) |
| Enumeration Date | 2021-05-16 |
| Last Update Date | 2023-08-21 |