NPI | 1215439336 |
---|---|
Former Name | CASEY GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405994) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 736778) |
Enumeration Date | 2018-03-05 |
Last Update Date | 2025-01-07 |