| NPI | 1205006566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI NPP37095) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: RI NPP37095) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |