| NPI | 1023765930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2022008828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2303652) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03406) | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2024-08-05 |