NPI | 1770921587 |
---|---|
Former Name | DAFNE O'CONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024837) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 813370) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2023-04-11 |