| NPI | 1740336882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2275336) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5553) |
| 163W00000X Registered Nurse (Licence: MA RN2275336) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2023-05-17 |