| NPI | 1831642610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2298546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01430) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2024-10-07 |