NPI | 1245881598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2324636) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 2324636) |
Enumeration Date | 2019-09-26 |
Last Update Date | 2024-04-24 |