NPI | 1063499168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA MW0400755I) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 232427) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2025-06-27 |