NPI | 1225193196 |
---|---|
Former Name | KATHLEEN MURPHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1139) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3067-57) |
363L00000X Nurse Practitioner (Licence: WI 1139-033) | |
Enumeration Date | 2006-12-22 |
Last Update Date | 2022-06-06 |