| NPI | 1073532297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI CAPRN01538) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI CAPRN00018) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-05-16 |