| NPI | 1609485945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN281540) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN281540) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN281540) | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2022-07-12 |