| NPI | 1477038867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2300913) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2300913) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2025-06-18 |