| NPI | 1639930126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2322580) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2322580) |
| 163W00000X Registered Nurse (Licence: CT 10.082011) | |
| 163W00000X Registered Nurse (Licence: NH 078431-21) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 078431-23) | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-04-16 |