| NPI | 1922062025 |
|---|---|
| Former Name | MOLLIE MAHANNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP81173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN48244) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2018-09-19 |