| NPI | 1417191297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN01909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN274226) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2018-10-12 |