| NPI | 1952042889 |
|---|---|
| Former Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA APRN10002583) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA RN2262602) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-09-03 |