| NPI | 1578637971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN135573) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN1596) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37082) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2024-10-28 |