| NPI | 1750832861 |
|---|---|
| Former Name | ISANDRA TAVARES DOS SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2380583) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA LABA1982) |
| 163W00000X Registered Nurse (Licence: MA RN2380583) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2026-03-29 |