NPI | 1154705572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN282844) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN282844) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2021-02-19 |