| NPI | 1942748470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01523) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 341103) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 2309899) | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2021-04-01 |