| NPI | 1750924338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2360906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 780977-01) |
| 163W00000X Registered Nurse (Licence: MA RN2360906) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403892) | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2022-05-26 |