| NPI | 1730455494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MA RN175135) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN175135) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI APRN03262) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2022-12-01 |