NPI | 1023495538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 281986) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA 281986) |
Enumeration Date | 2015-05-04 |
Last Update Date | 2017-04-26 |