| NPI | 1982910485 |
|---|---|
| Former Name | DENINE A GOLLAHON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95005536) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2019-04-03 |