| NPI | 1326156159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9331643) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9331643) |
| 363L00000X Nurse Practitioner (Licence: GA 214963) | |
| 363L00000X Nurse Practitioner (Licence: RI NPP37255) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-08-25 |