| 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 |