NPI | 1639811292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2348103) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MA RN2348103) |
Enumeration Date | 2022-04-12 |
Last Update Date | 2022-09-29 |