| NPI | 1053682765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI NPP37680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN34380) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2018-12-05 |