| NPI | 1093783656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00316) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37243) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2015-03-03 |