| NPI | 1710079033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MA RN96676) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 96676) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA RN96676) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN96676) | |
| 363L00000X Nurse Practitioner (Licence: MA RN96676) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-03-20 |