NPI | 1356542401 |
---|---|
Former Name | DEBORAH ANN MCCARTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401476) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 3204651) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F3803031) | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2016-10-14 |