NPI | 1215114491 |
---|---|
Former Name | PATRICIA ANN DALLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP121016) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: GA RN143047) |
363LF0000X Nurse Practitioner, Family (Licence: ME CNP121016) | |
Enumeration Date | 2008-01-30 |
Last Update Date | 2024-03-21 |