| NPI | 1154089308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04107) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2358733) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2358733) | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2024-08-12 |