| NPI | 1285151746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006466) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN04256) |
| 363L00000X Nurse Practitioner (Licence: NY 341897) | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2024-11-11 |