| NPI | 1841699980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN284235) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 284235) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 284235) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2026-01-09 |