| NPI | 1417635111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN263644) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MA 263644) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2025-05-08 |