| NPI | 1518524628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008584) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02059) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2022-11-16 |