| NPI | 1487833299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN279515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 279515) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN279515) | |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: MA RN279515) | |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2020-09-01 |