NPI | 1891232906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN261442) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN261442) |
Enumeration Date | 2017-01-26 |
Last Update Date | 2023-05-16 |