| NPI | 1336242494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 041037-23-03) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN276121) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN276121) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 041037-23) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2024-03-18 |