| NPI | 1245413855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 212248) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA APRN10002410) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2024-10-16 |