| NPI | 1669289047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2290564) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0137620) |
| 163WH1000X Registered Nurse, Hospice (Licence: MA 2290564) | |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-01-23 |