| NPI | 1649703547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN258874) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN01573) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01573) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-06-29 |