| NPI | 1417208687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI NP18297) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN143896) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |