| NPI | 1447599402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2279300) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2279300) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9423814) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9423814) | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2022-10-17 |