| NPI | 1083496442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA rn262715) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN262715) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA rn262715) | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-01-17 |