NPI | 1164654554 |
---|---|
Other Name | SARA REGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 005378) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 082456) |
163W00000X Registered Nurse (Licence: FL FL9276479) | |
Enumeration Date | 2009-08-18 |
Last Update Date | 2015-04-08 |