NPI | 1194338871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2328764) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2328764) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2328764) | |
Enumeration Date | 2020-08-24 |
Last Update Date | 2021-03-17 |