NPI | 1396502431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2377418) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2377418) |
Enumeration Date | 2024-03-05 |
Last Update Date | 2024-08-15 |