| NPI | 1023535010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02063) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006574) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-07-21 |