NPI | 1215436480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 089799-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2313783) |
163W00000X Registered Nurse (Licence: NH 089799-21) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2313783) | |
Enumeration Date | 2018-02-02 |
Last Update Date | 2024-02-29 |