| NPI | 1629776026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN285380) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN285380) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN285380) | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-07-23 |