NPI | 1174925978 |
---|---|
Other Name | CARLY MCINERNY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201801108NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201800375RN) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2025-03-05 |