| NPI | 1134662893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2284986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 074799-21) |
| 163W00000X Registered Nurse (Licence: MA RN2284986) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11002628) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 074799-23) | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2020-09-21 |