| NPI | 1548362981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI NP37306) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA NP 124790) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2010-06-01 |