| NPI | 1568572915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN131791) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 363LA2200X) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: RI RN24344) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-07-21 |