| NPI | 1982565040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2391378) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2391378) |
| Enumeration Date | 2025-11-19 |
| Last Update Date | 2026-07-17 |