| NPI | 1548362320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R240065) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37191) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2019-09-17 |