NPI | 1023733441 |
---|---|
Former Name | TRISHA BARRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 10734746-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 10734746-4405) |
Enumeration Date | 2022-10-07 |
Last Update Date | 2023-03-30 |