| NPI | 1285690966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 194271) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI RN33712) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI NPP33712) | |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2020-09-18 |