| NPI | 1487963096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01138) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37495) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2019-11-23 |