| NPI | 1780631341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400743-1) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP81195) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2297629) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2014-12-26 |