| NPI | 1417323072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN282360) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00725) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2019-02-08 |