| NPI | 1437833019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2258824) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2258824) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 069490-23) | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-10-31 |