| NPI | 1194348201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 214632) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: MA 214632) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2021-10-06 |