| NPI | 1467437582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN193939) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 0050-00965) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 204136) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2019-01-26 |