| NPI | 1629588629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2280839) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: MA RN2280839) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2023-12-20 |