| 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 |