| NPI | 1568129096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 74643) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03342) |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2024-11-05 |