| NPI | 1699840629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37551) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP04510) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-05-06 |