NPI | 1629513684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN276086) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MA RN276086) |
Enumeration Date | 2016-12-30 |
Last Update Date | 2023-03-30 |