| NPI | 1326085945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 201757) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 201757) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 201757) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2015-12-09 |