| NPI | 1720582026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 267092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN267092) |
| 163W00000X Registered Nurse (Licence: GA 247546) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 247546) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11015369) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-08-15 |