| NPI | 1467118521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2323910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2323910) |
| 163W00000X Registered Nurse (Licence: RI RN59347) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02926) | |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2023-09-09 |