| NPI | 1457783904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01419) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2275305) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2020-01-30 |