| NPI | 1427506872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2307299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2307299) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2020-10-27 |