| NPI | 1306779764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN10048615) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 893019) |
| 163W00000X Registered Nurse (Licence: MA RN10048615) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F408910-01) | |
| Enumeration Date | 2026-06-05 |
| Last Update Date | 2026-07-23 |