| NPI | 1912348657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 114074-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 213282-4) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN02198) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2025-06-23 |