NPI | 1689162885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2322913) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2322913) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2021-10-21 |