| NPI | 1497961148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 154401) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI NPP15221) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-12-23 |