NPI | 1508136946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN273625) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN273625) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 067690-23) | |
Enumeration Date | 2012-01-03 |
Last Update Date | 2021-03-01 |