| NPI | 1053574111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 282303) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 335476) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2014-09-16 |