| NPI | 1851604466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 4403) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37684) |
| Enumeration Date | 2010-07-24 |
| Last Update Date | 2016-10-10 |