| NPI | 1457781619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01037) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN209696) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2018-11-16 |