| NPI | 1649788258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133981) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-09-18 |