| NPI | 1144377755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00685) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37325) |
| 363L00000X Nurse Practitioner (Licence: MA RN 251998NP) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2021-06-09 |