| NPI | 1518061787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00483) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 186487) |
| 363L00000X Nurse Practitioner (Licence: RI NP30755) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-03-04 |