| NPI | 1366544421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN01116) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP22390) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-06-12 |