| NPI | 1174117444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2306384) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI RN67571) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2023-10-06 |