| NPI | 1912714247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2390263) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN78544) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2026-03-11 |