| NPI | 1083085575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00762) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 264353) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00762) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN00762) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: RI APRN00762) | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2019-07-29 |