| NPI | 1306947239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RN31394) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37207) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |