NPI | 1023854213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2335736) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2335736) |
Enumeration Date | 2024-07-08 |
Last Update Date | 2025-05-09 |