| NPI | 1538800123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2351131) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2351131) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-04-04 |