Michelle O'Neill pledged: "I will serve everyone equally and be a first minister for all."
The devolved administration in Stormont has resumed following a two-year break, after unionist party the DUP agreed to a new post-Brexit deal designed to end trade borders between Northern Ireland and the rest of the UK.
DUP politician Emma LittlePengelly was nominated as deputy first minister under power-sharing arrangements.
Ms O'Neill, 47, is vice-president of Sinn Fein, which believes Northern Ireland should leave the UK. The party was also associated with the IRA, which carried out a terror campaign until the Good Friday peace agreement in 1998.
Her elevation to first minister follows Sinn Fein becoming the region's largest political party in the 2022 Assembly election.
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