| NPI | 1902180276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI 00523) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 004788) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2022-03-29 |