| NPI | 1902350408 |
|---|---|
| Former Name | ENIANA JANE AGOLLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2310374) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2025-02-25 |