| NPI | 1265780894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 5055) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 074931-23) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP161203) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431080) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01599) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 5055) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2020-08-03 |