| NPI | 1427618677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2351676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001286781) |
| 163W00000X Registered Nurse (Licence: PA RN691898) | |
| 163W00000X Registered Nurse (Licence: MA RN2351676) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024178244) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2021-08-16 |