| NPI | 1336457191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2259098) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 2259098) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2022-10-04 |