| NPI | 1093702110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00916) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN209578) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2024-09-08 |