| NPI | 1922486554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2276617) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN00684) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2276617) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00684) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2022-04-24 |