| NPI | 1225277221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003375) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37341) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |