NPI | 1053075549 |
---|---|
Former Name | KATHERINE MCGETTIGAN CALLAGHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP024685) |
Enumeration Date | 2021-10-29 |
Last Update Date | 2022-12-19 |