NPI | 1942713938 |
---|---|
Former Name | DARCI SUE MCMAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: IA 093463) |
Enumeration Date | 2017-11-13 |
Last Update Date | 2017-11-13 |