| NPI | 1407230493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2279318) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 0069004-23) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2279318) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2022-12-15 |