NPI | 1891585600 |
---|---|
Other Name | MALLORY ELISE BENJAMIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 738099-01) |
Enumeration Date | 2025-05-07 |
Last Update Date | 2025-05-07 |