| NPI | 1528509130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2282734) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8227) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01550) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2024-04-12 |