| NPI | 1518641851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2313741) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN2313741) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-03-12 |