| NPI | 1457503641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 084493) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI NPP37239) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-03-25 |