| NPI | 1679045942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2280445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2280445) |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2025-07-01 |