NPI | 1851898068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN277188) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA RN259172) |
251S00000X Community/Behavioral Health (Licence: GA RN259172) | |
363LA2200X Nurse Practitioner Adult Health (Licence: GA RN259172) | |
Enumeration Date | 2018-04-12 |
Last Update Date | 2021-07-09 |