| NPI | 1447222856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN257460) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN257460) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN257460) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2019-11-08 |