| NPI | 1790921609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN237840) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN03444) |
| 363L00000X Nurse Practitioner (Licence: WA AP60070033) | |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2024-05-23 |