| NPI | 1720457799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2258056) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN00714) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 2258056) | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2022-02-28 |