| NPI | 1750822680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN262938) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01681) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2019-05-30 |