| NPI | 1699328062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN260606) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA RN260606) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA RN260606) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2022-02-23 |