| NPI | 1184907800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 060546-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN184442) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 060546-23) | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2021-06-11 |