| NPI | 1043565724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2284234) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ TAP4530) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4530) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2019-07-10 |