NPI | 1306119854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2271100) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2271100) |
Enumeration Date | 2012-02-14 |
Last Update Date | 2023-04-24 |