| NPI | 1952743288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95003022) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 084009-23) |
| 363L00000X Nurse Practitioner (Licence: RI NPP37773) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2269752) | |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2024-01-08 |