| NPI | 1902385099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2281553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01883) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2019-10-11 |