| NPI | 1871371559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2389758) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2389758) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1138077) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405360) | |
| 163W00000X Registered Nurse (Licence: TX 814208) | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2024-11-21 |