| NPI | 1336517150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2282497) |
| Additional Taxonomies | 282NW0100X General Acute Care Hospital, Women |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2024-04-16 |