NPI | 1578286738 |
---|---|
Former Name | KATE MARIE MC AVOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95022498) |
Enumeration Date | 2022-09-22 |
Last Update Date | 2022-09-22 |