| NPI | 1831575661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2291465) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: RI APRN00721) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2018-11-06 |