| NPI | 1154120582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 112449-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 112449-21) |
| 163W00000X Registered Nurse (Licence: MA RN2390290) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2390290) | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-06-17 |