| NPI | 1316071533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN264613) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI MD37471) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2021-08-12 |