| NPI | 1861411449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN215645) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 215645) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI RN39391) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-11-15 |