| NPI | 1619120490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2316809) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2316809) |
| 176B00000X Midwife (Licence: FL MW204) | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2023-07-25 |