| NPI | 1407228737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009841) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2023-09-18 |