| NPI | 1831590595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN231584) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37916) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01239) | |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2021-02-19 |