| NPI | 1538226626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2269580) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37342) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-10-19 |