| NPI | 1710478854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2321663) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI RN63427) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-02-23 |