| NPI | 1306260690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02263) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2280384) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2280384) | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2021-03-11 |