| NPI | 1245219898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP33078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN161430) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2017-04-21 |