| NPI | 1609009893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2259172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2259172) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2020-06-12 |