| NPI | 1356341366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 234921) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37299) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP008522) | |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2022-10-04 |