| NPI | 1245484641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN277449) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 277449) |
| 363L00000X Nurse Practitioner (Licence: MA RN277449) | |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2020-12-23 |