| NPI | 1467067934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2328985) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2328985) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2328985) | |
| 163W00000X Registered Nurse (Licence: MA RN2328985) | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2024-03-14 |