| NPI | 1255652681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01108) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI 00000) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2018-03-21 |