| NPI | 1205252731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2284729) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2284729) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2284729) | |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2020-01-06 |