NPI | 1750562203 |
---|---|
Former Name | HELEN MARIE CALLAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA SP019451) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009700) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: PA VP004686D) | |
Enumeration Date | 2007-11-26 |
Last Update Date | 2018-12-19 |