| NPI | 1932415932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI npp25427) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: RI npp25427) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN200043) | |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |