| NPI | 1154098614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2340668) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 068114-23) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH Pending) | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-01-11 |