| NPI | 1760960769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2303520) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2303520) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 085782-23) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2022-11-28 |