| NPI | 1043582216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2263982) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP00204-T) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2014-07-17 |