| NPI | 1033666110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN04042) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 341032) |
| 363L00000X Nurse Practitioner (Licence: ME CNP201425) | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2024-07-22 |