| NPI | 1477020600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI 03257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340577) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2022-10-27 |