NPI | 1174583025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 237507) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 237507) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2024-06-06 |