| NPI | 1811532724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2261311) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MA 2261311) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2261311) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2023-03-29 |