| NPI | 1467235051 |
|---|---|
| Former Name | KATHLEEN CHANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209028104) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2024-09-18 |