| NPI | 1205322757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2314117) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 8469) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2314117) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-01-19 |