| NPI | 1982899670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN199952) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN00107) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2024-09-12 |