| NPI | 1497845275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN166235) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-12-22 |