| NPI | 1871251819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN100138811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A166825) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN10013881) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA A166825) | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2026-01-16 |