| NPI | 1750659462 |
|---|---|
| Former Name | JENNIFER M MOONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60262506) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3007912) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2016-07-22 |