| NPI | 1376215186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2356687) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2356687) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2026-05-28 |