| NPI | 1508817545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN177387) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: RI APRN00218) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-05-17 |