| NPI | 1386639631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37270) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2015-02-24 |