| NPI | 1427498922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN264734) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NP37005) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2020-11-02 |