| NPI | 1750813713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2272655) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2272655) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01559) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03768) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-10-17 |