| NPI | 1902514375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN256338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 095336) |
| 163W00000X Registered Nurse (Licence: MA RN256338) | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2023-03-19 |