| NPI | 1003913567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 233757) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 233757) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 233757) | |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-10-27 |