| NPI | 1275218349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2384248) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2384248) |
| 163W00000X Registered Nurse (Licence: OH RN.501797) | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-08-14 |