| NPI | 1437162906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN217763) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 217763) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY F#400637-1) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 484639-1) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-03-17 |