| NPI | 1932656220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2321529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN657201) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 71798) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP016676) | |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2025-07-22 |