| NPI | 1184323099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI aprn04265) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2333490) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2333490) | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2024-10-22 |