| NPI | 1295828804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: MA 226017) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 226017) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-07-02 |