| NPI | 1679615140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03167) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0024166477) |
| 207P00000X Emergency Medicine (Licence: VA 0024166477) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2022-10-26 |