NPI | 1548593288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2022152052) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 274567) |
Enumeration Date | 2009-09-14 |
Last Update Date | 2023-07-19 |