NPI | 1962489658 |
---|---|
Former Name | MARY ANNE MARTIN BARRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 400240) |
Enumeration Date | 2005-12-23 |
Last Update Date | 2020-01-29 |