| NPI | 1225097140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI RN24184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 002318) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2013-09-23 |