| NPI | 1073954376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00559) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023671) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 351681) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1100877) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95024749) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2269914) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2023-05-10 |