| NPI | 1144757998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2264174) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN02392) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-09-01 |