| NPI | 1376943746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2272616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 082051-23) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI CNPP37942) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2023-02-08 |