| NPI | 1508407388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2281403) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN02046) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2025-09-06 |