NPI | 1881185809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA RN2321807) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2321807) |
Enumeration Date | 2018-05-24 |
Last Update Date | 2019-12-02 |