| NPI | 1033341789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN280567) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37531) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2013-08-21 |