| NPI | 1619355260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2280575) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 065101-21) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 065101-23) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2025-05-08 |