| NPI | 1225497076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2266103) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: RI APRN01346) |
| 363LF0000X Nurse Practitioner Family (Licence: MA RN2266103) | |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2022-06-02 |