| NPI | 1174649537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 145425) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: RI APRN00092) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-03-30 |