| NPI | 1780607671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 183097) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 183097) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 183097) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-10-04 |