| NPI | 1447308929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00055) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 210572) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-02-04 |