| NPI | 1063530970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 150387) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 150387) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: MA 150387) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-05-05 |