| NPI | 1629513684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/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 |