| NPI | 1114727575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 057361-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN275837) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 057361-21) | |
| Enumeration Date | 2025-03-15 |
| Last Update Date | 2026-05-05 |