| NPI | 1083805410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 034118-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: RI NPP37593) |
| 363LF0000X Nurse Practitioner Family (Licence: MA 242445) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2022-07-21 |