NPI | 1861853673 |
---|---|
Former Name | CHRISTA ANN MAHARRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP8538) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8538) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2024-10-03 |