| NPI | 1518667617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA MCS010215B) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 2323954) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-11-10 |