| NPI | 1831496157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2022044098) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: MA LN87319) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2023-10-27 |