| NPI | 1740052737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2330788) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MA RN2330788) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2024-08-28 |