NPI | 1255155495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2273492) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN2273492) |
Enumeration Date | 2024-11-13 |
Last Update Date | 2025-10-16 |