| NPI | 1518914084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI RI27530) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: RI RI37530) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2021-03-30 |