| NPI | 1275798852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 255002) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 255002) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 255002) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |