| NPI | 1063983252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2326353) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2326353) |
| 163WG0000X Registered Nurse, General Practice (Licence: MA RN2326353) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2025-06-05 |