| NPI | 1538460159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP024146) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 336554) |
| 363LF0000X Nurse Practitioner Family (Licence: RI APRN00588) | |
| 363LF0000X Nurse Practitioner Family (Licence: RI NPP37634) | |
| 363LF0000X Nurse Practitioner Family (Licence: MA RN2292523) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: RI APRN00588) | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2025-01-13 |