| NPI | 1093898223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 179375) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA 179375) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-12-21 |