NPI | 1639783780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA rn2307560) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA rn2307560) |
Enumeration Date | 2020-09-05 |
Last Update Date | 2024-12-04 |