NPI | 1811226426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2260842) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 084752) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2260842) | |
Enumeration Date | 2009-12-09 |
Last Update Date | 2022-09-20 |