| NPI | 1194598953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: MA RN275038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN275038) |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2026-01-13 |