NPI | 1750873329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2307421) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2307421) |
Enumeration Date | 2018-05-30 |
Last Update Date | 2023-04-14 |