| NPI | 1083090849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI CAPRN01596) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2302797) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2019-11-27 |