NPI | 1316712763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2321959) |
Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: MA RN2321959) |
Enumeration Date | 2023-11-15 |
Last Update Date | 2024-07-17 |