NPI | 1811338528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2365088) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: TN 0000179149) |
Enumeration Date | 2013-07-10 |
Last Update Date | 2024-02-07 |