| NPI | 1922663244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2388066) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403520) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2388066) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 743920) | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2026-05-12 |