| NPI | 1295159465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 070810-23) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 2013010687) |
| Enumeration Date | 2014-02-09 |
| Last Update Date | 2021-10-05 |