| NPI | 1811761778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA F10231040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI CAPRN04260) |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2025-01-17 |