| NPI | 1861582173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 165091) |
| Additional Taxonomies | 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: MA 165091) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2021-06-01 |