| NPI | 1356969497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN265371) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA RN265371) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN265371) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2022-04-29 |