| NPI | 1316377914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00345) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37822) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2020-01-29 |