| NPI | 1558654152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN264523) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 079140-23) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA RN264523) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2025-03-13 |