NPI | 1962618686 |
---|---|
Other Name | PEGGY MACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: DE LE-0000123) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2021-06-29 |