| NPI | 1841226875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00412) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA CNP164706) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-04-30 |