| NPI | 1588961858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA rn2267018) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2267018) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2020-12-17 |