| NPI | 1245795491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2372523) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA MCS009080B) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 257238) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5011431) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 11672) | |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2024-05-02 |