NPI | 1306035209 |
---|---|
Former Name | LISHA INEZ MCCRARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: TN RN100615) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2007-10-17 |