| NPI | 1336598101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001477) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01369) |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2019-04-10 |