NPI | 1053641399 |
---|---|
Former Name | KIELY LYNN GEARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP121041) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC12249) |
163W00000X Registered Nurse (Licence: ME RN58534) | |
Enumeration Date | 2010-01-08 |
Last Update Date | 2016-06-22 |