| NPI | 1770091142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2314433) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1062667) |
| 163W00000X Registered Nurse (Licence: MA RN2314433) | |
| 363L00000X Nurse Practitioner (Licence: DC RN1062667) | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2021-08-20 |