| NPI | 1407225006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: RI AE-C Cert No. 5377) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: RI LPN10744) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |