| NPI | 1033514971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN50698) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2019-05-01 |