| NPI | 1336452077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02648) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP3625) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP3626) | |
| 363L00000X Nurse Practitioner (Licence: AZ AP3625) | |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2024-08-29 |