| NPI | 1386246718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2329798) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN02414) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2024-09-08 |