| NPI | 1871342212 |
|---|---|
| Former Name | STEPHANIE MICHELLE O'CALLAGHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 2024060840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN1621307) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-08-16 |