| NPI | 1538715206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN02114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 4026720) |
| 363LF0000X Nurse Practitioner Family (Licence: NH 09038323) | |
| 363LF0000X Nurse Practitioner Family (Licence: MA 2321730) | |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN11031198) | |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2024-08-22 |