| NPI | 1831852425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN03594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2337650) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2337650) | |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2025-08-29 |