| NPI | 1205282548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2329291) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2329291) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2020-11-05 |