| NPI | 1194065748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2283856) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |