| NPI | 1023349354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2385813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R181022) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R181022) | |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2025-04-30 |