| NPI | 1255901310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2302114) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01168700) |
| 363L00000X Nurse Practitioner (Licence: RI APRN53039) | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2024-09-08 |