| NPI | 1881204840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2306476) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02406) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2022-03-18 |