| NPI | 1386044931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343669-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37893) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 5811) | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2019-11-20 |