| NPI | 1174145841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2279588) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02291) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-01-12 |