NPI | 1932748936 |
---|---|
Former Name | DEVON GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 404365) |
Enumeration Date | 2019-12-23 |
Last Update Date | 2024-03-19 |