| NPI | 1174925978 |
|---|---|
| Other Name | CARLY MCINERNY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95006016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95058925) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2021-05-25 |