NPI | 1386011880 |
---|---|
Former Name | ANNA MCDUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 222849) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: SC 222849) |
Enumeration Date | 2015-09-01 |
Last Update Date | 2015-10-27 |