| NPI | 1871298703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2358392) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2358392) | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2024-09-13 |