| NPI | 1245478999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12089) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00993) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2023-07-25 |