| NPI | 1740295617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA APRN175441) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MA APRN175441) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2011-02-17 |