| 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 |