| NPI | 1427619220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2291879) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2291879) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-08-05 |