| NPI | 1861144388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2349796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95254103) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-07-07 |