| NPI | 1588797625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN271590) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 271590) |
| 163W00000X Registered Nurse (Licence: MA 271590) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-07-12 |