| NPI | 1184126419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2291523) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN01818) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2023-06-13 |