| NPI | 1275698839 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI NPP37412)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 228075)  | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN00033)  | |
| Enumeration Date | 2006-12-26 | 
| Last Update Date | 2019-11-26 |