| NPI | 1851171896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN234680) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA RN234680) |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-11-06 |