| NPI | 1710603923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2330101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03297) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2025-03-19 |