| NPI | 1356395578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN181798) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN00889) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-09-08 |