| NPI | 1972341865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 10007763) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN10007763) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2025-08-11 |