| NPI | 1992940365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2259886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2259886) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 003957) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 3957) | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2023-10-25 |