| NPI | 1164767604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN271502) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2023-12-29 |