| NPI | 1619389160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010017) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37865) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2021-08-16 |