| NPI | 1578996625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03010) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN264943) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2022-03-02 |