| NPI | 1578084273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009639) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2018-08-23 |