| NPI | 1013317247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2283281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37909) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2024-02-14 |