| NPI | 1447419437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309048) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37550) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN267896) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2019-02-05 |