| 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 |