| NPI | 1174605398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI NPP37458) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003517) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 003517) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-02-17 |