| NPI | 1912563859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2332037) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02019) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-08-14 |