| NPI | 1538560263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 071405-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2295489) |
| 163W00000X Registered Nurse (Licence: NH 071405-21) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2019-02-20 |