| NPI | 1750850665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2264586) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN1861) |
| 363L00000X Nurse Practitioner (Licence: MA RN2264586) | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-12-06 |