| NPI | 1740994292 |
|---|---|
| Former Name | COLLEEN MULCAHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 13528) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 174832-030) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-03-01 |