NPI | 1679622898 |
---|---|
Former Name | DENISE E FITZPATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 002460) |
Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: CT 002460) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2017-03-15 |