NPI | 1922498898 |
---|---|
Former Name | DEBORAH J MCCRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 046879-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 046873-21) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 046873-23) | |
Enumeration Date | 2015-01-30 |
Last Update Date | 2021-08-26 |