| NPI | 1427343128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01061) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 720367) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2021-04-15 |