| NPI | 1922556117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2273321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA rn2273321) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA rn2273321) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA rn2273321) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA rn2273321) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2021-06-10 |