| NPI | 1538577986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2282208) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI CAPRN00988) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37887) | |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2023-01-05 |