| NPI | 1538919584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN233135) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 045568-23) |
| 163W00000X Registered Nurse (Licence: NH 045568-21) | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-12-03 |