| NPI | 1912334269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD RI95045) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001082927) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC000895) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC 43498) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024082927) | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2025-01-27 |