NPI | 1225650302 |
---|---|
Former Name | LEEANNE MCCAULEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26nj01032100) |
Enumeration Date | 2020-05-12 |
Last Update Date | 2025-02-27 |