| NPI | 1285287706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2327054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2327054) |
| 163W00000X Registered Nurse (Licence: RI RN61939) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2023-11-28 |