| NPI | 1265717565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95002835) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2275566) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI NPP37728) | |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2023-11-29 |