| NPI | 1922434489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 10185) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: RI NPP37788) |
| 363LF0000X Nurse Practitioner Family (Licence: RI APRN00437) | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2022-07-28 |