| NPI | 1396736229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI NPP29225) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: RI npp29225) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-07-08 |