| NPI | 1477572964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN211168) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 211168) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-06-20 |