| NPI | 1457756488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI NPP37941) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN49003) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2019-12-11 |