NPI | 1184929788 |
---|---|
Former Name | CHRISTINA CHIARA MAHONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007376) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN 198319-NP) |
363LF0000X Nurse Practitioner, Family (Licence: AK 1205) | |
Enumeration Date | 2011-01-13 |
Last Update Date | 2015-04-04 |