| NPI | 1518242460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN00181) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2328439) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2020-04-23 |