NPI | 1780141986 |
---|---|
Former Name | CATHERINE RILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11001392) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL 11001392) |
Enumeration Date | 2019-02-23 |
Last Update Date | 2021-01-21 |