| 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 | 2025-05-09 |