| NPI | 1083029003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN275926) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 101511) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2023-07-19 |