| NPI | 1477527182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 238094) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2019-02-18 |