| NPI | 1770918856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016527) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2276837) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37782) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9407240) | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2022-07-18 |