| NPI | 1447771829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2306688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2306688) |
| 363L00000X Nurse Practitioner (Licence: MA RN2306688) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2023-09-29 |