| NPI | 1366524696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN02299) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 149489) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-04-14 |