| NPI | 1043437809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN270439) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 270439) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN270439) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2015-04-27 |