| NPI | 1548457021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI NPP37523) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9263496) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2010-06-01 |