| NPI | 1700876000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 265684) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37688) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01042) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-09-21 |