| NPI | 1083097778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2290979) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00711) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2016-08-25 |