| NPI | 1457902421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02177) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN53644) |
| Enumeration Date | 2019-09-21 |
| Last Update Date | 2019-11-26 |