NPI | 1265969737 |
---|---|
Other Name | GABRIELLE LAUREN MAHONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH 421638) |
Enumeration Date | 2017-05-16 |
Last Update Date | 2017-05-16 |