| NPI | 1336299890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI 01338) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 8390) |
| 111NR0400X Chiropractor Rehabilitation (Licence: RI DCP00362) | |
| 363LF0000X Nurse Practitioner Family (Licence: MA RN243505) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-11-22 |