| NPI | 1760720213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2265845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37731) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2021-07-20 |