| NPI | 1184144073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN03573) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2299344) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2299344) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-12-14 |