| NPI | 1811629843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2321550) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2321550) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2023-03-31 |