| NPI | 1235559428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2303338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 113557) |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2015-12-03 |