| NPI | 1164967816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: RI APRN01598) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN43234) |
| 363L00000X Nurse Practitioner (Licence: RI APRN01598) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2019-11-23 |