| NPI | 1992201776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2282055) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NH 081650-21) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA RN2282055) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2026-03-04 |