| NPI | 1407035744 |
|---|---|
| Former Name | JEAN M HALL, CUNNINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 051072-23) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 021072-21) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-08 |