| NPI | 1407059538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RN22114) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI NPP22114) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |