| NPI | 1316958127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02152) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 22463) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-12-30 |