| NPI | 1235374414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2292722) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2018-12-26 |