| NPI | 1700832656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN274598) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 274598) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 089889-23) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-03-01 |