| NPI | 1316599400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN2298561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2298561) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2022-03-03 |