| NPI | 1477302107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MA RN2319000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2319000) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-07-05 |