| NPI | 1326349879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN283427) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN283427) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2023-04-25 |