NPI | 1518667617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2323954) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA MCS010215B) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 2323954) | |
Enumeration Date | 2023-03-07 |
Last Update Date | 2025-09-11 |