| NPI | 1609157411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2274370) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 2274370) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2274370) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2024-05-24 |