| NPI | 1033826748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2382921) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NH 089100-21) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2025-08-01 |