| NPI | 1679581417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 005052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01166) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2016-04-01 |