| NPI | 1770558538 |
|---|---|
| Former Name | IRENE CUNNINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 45477) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2021-07-16 |