| NPI | 1649338716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 138523) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN138253) |
| 363L00000X Nurse Practitioner (Licence: MA RN138253) | |
| 364SN0800X Clinical Nurse Specialist Neuroscience (Licence: MA RN138253) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2019-04-23 |