| NPI | 1962103200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2338839) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2338839) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2024-03-21 |