| NPI | 1609202340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN2264841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2264841) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2024-03-06 |