| NPI | 1396403762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2264175) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN02942) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2022-08-31 |