| NPI | 1053651562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2264018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: RI NPP37749) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2024-04-23 |